Charge Description Master Specialist | Patient Accounting | Full Time | HYBRID (On-Site/Remote)

Gritman Medical Center•Moscow, ID

2d•Hybrid

About The Position

The Charge Description Master Specialist maintains hospital and clinic chargemasters, including charge descriptions, procedure and supply codes, revenue codes, departments, units of service, prices, billable status, and effective dates. The role reviews charge-change requests for approvals, documentation, coding logic, and system dependencies, and coordinates chargemaster reviews with departmental, finance, coding, compliance, billing, and clinical stakeholders. The specialist evaluates charge-capture workflows across hospital departments, specialty clinics, and Rural Health Clinics; supports billing and coding configuration; monitors relevant coding, payer, reimbursement, and regulatory updates; and helps ensure services are routed to appropriate billing processes. The role also audits charge records, investigates charge-related claim issues, maintains documentation and change controls, participates in system testing and implementations, and provides education and technical guidance to clinical and operational departments. The position protects confidential information and escalates compliance concerns. Work is primarily performed in an office or remote-work environment and involves extended use of a computer, telephone, and standard office equipment. The role requires effective communication, careful review of detailed information, and meeting established deadlines. Reasonable accommodations may be made for qualified individuals to perform essential functions.

Requirements

Associate degree in health information management, healthcare administration, finance, business, or a related field; equivalent relevant experience may be considered.
Three years of experience in hospital or clinic revenue cycle, chargemaster maintenance, coding, billing, reimbursement, finance, compliance, or a related function.
Working knowledge of hospital and professional billing concepts, charge capture, claims workflows, medical terminology, coding systems, and payer requirements.
Experience using electronic health record, patient accounting, billing, or chargemaster management applications.
Proficiency with spreadsheets and data analysis, including sorting, filtering, formulas, reconciliation, and data validation.
Experience using Epic for chargemaster maintenance, charge routing, charge capture, billing workflows, workqueues, testing, and issue resolution.
Strong analytical, problem-solving, reconciliation, and research skills.
Ability to interpret technical billing and coding guidance and translate it into practical system and workflow requirements.
High attention to detail and ability to manage multiple priorities, deadlines, and effective dates.
Clear written and verbal communication skills, including ability to educate clinical and nonclinical audiences.
Ability to work independently while coordinating effectively across departments.
Sound judgment, professional discretion, and commitment to ethical and compliant practices.

Nice To Haves

Bachelor’s degree in health information management, healthcare administration, finance, business, or a related field.
Experience supporting a Critical Access Hospital, Rural Health Clinic, or multispecialty clinic environment.
Professional certification such as CPC, CCS, RHIA, RHIT, CPMA, or CHFP.
Experience with chargemaster software, contract modeling, price transparency support, or revenue integrity analytics.

Responsibilities

Maintain hospital and clinic chargemasters, including charge descriptions, codes, departments, units, prices, billable status, and effective dates.
Review requests to add, revise, or deactivate charges and verify approvals, documentation, coding logic, and system dependencies.
Coordinate annual and interim chargemaster reviews with department leaders and relevant finance, coding, compliance, billing, and clinical stakeholders.
Evaluate charge-capture workflows and identify missed, duplicate, delayed, or unsupported charges; recommend corrective action.
Support appropriate configuration and use of CPT, HCPCS, ICD-10-CM, revenue codes, modifiers, units, and other billing attributes in collaboration with coding and billing personnel.
Monitor coding, payer, reimbursement, and regulatory updates that may affect charge descriptions, billing edits, fee schedules, or claims.
Validate that Rural Health Clinic and non-Rural Health Clinic services are distinguished and routed to the appropriate billing process.
Support Critical Access Hospital billing workflows for applicable hospital, professional, outpatient, inpatient, observation, emergency, laboratory, therapy, imaging, pharmacy, and supply charges.
Partner with specialty clinic leaders to maintain procedure, drug, supply, implant, and medication-administration charge structures.
Perform audits and data analyses to identify inactive, inconsistent, duplicate, or potentially noncompliant charge records.
Investigate charge-related claim edits, denials, underpayments, and reconciliation variances; document findings and coordinate resolution.
Maintain change logs, approval records, testing documentation, reference materials, policies, procedures, and departmental education.
Participate in implementations, upgrades, interfaces, and testing affecting orders, documentation, charge routing, coding, billing, or general ledger mapping.
Educate and provide technical guidance to clinical and operational departments on charge entry, documentation expectations, and charge-capture controls.
Protect confidential patient, employee, financial, and proprietary information and follow privacy and security requirements.
Escalate compliance concerns through established channels and assist with corrective-action monitoring.